Individual
MR. JOHNNY PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
516-B WEST MAIN STREET, SMITHVILLE, TN 37166-0299
(615) 597-7822
(615) 597-1112
Mailing address
P. O. BOX 126, SMITHVILLE, TN 37166-1118
(615) 597-7822
(615) 597-1112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C006677
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150553
BC/BS
TN
01
—
3563964
TN MEDICAL ASSISTANCE PRO
TN
01
—
4427313
NCPDP
TN
05
—
9449808
—
TN
Enumeration date
10/17/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us